Individual provider Active NPI

Amanda Dovidio Zelechoski, PH.D., J.D.

  • Psychologist
  • Brookline, MA
National Provider Identifier
1285967463
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
1269 Beacon St
Brookline, MA 02446-5248
Phone
(617) 232-1303
Fax
(617) 232-1280
NPI assigned
Sep 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

1269 Beacon St
Brookline, MA 02446-5248

Mailing address

51 Charles St
Natick, MA 01760-2830
Phone (610) 291-7570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Juris Doctor, Doctor of Philosophy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253491200000",
    "number": "1285967463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 CHARLES ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017602830",
            "telephone_number": "610-291-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1269 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465248",
            "telephone_number": "617-232-1303",
            "fax_number": "617-232-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELECHOSKI",
        "first_name": "AMANDA",
        "middle_name": "DOVIDIO",
        "credential": "PH.D., J.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-07",
        "last_updated": "2009-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.